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SHIL SHAH
NPI 1205453545
Hospitalist in Atlantic City, NJ

Active since July 02, 2020PECOS EnrolledAccepts Medicare Assignment
1925 PACIFIC AVE, 8TH FL, ATLANTIC CITY, NJ 08401(609) 449-4391 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2023, Nov 4, 2020, Jul 2, 2020 (3 updates tracked since 2020).

About Shil Shah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIL SHAH (NPI 1205453545) is an individual hospitalist provider in Atlantic City, New Jersey, licensed in New Jersey (25MA11845200) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Shore Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205453545
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHIL SHAH
Location Address1925 PACIFIC AVE, 8TH FLAtlantic City, NJ 08401-6713
Mailing Address1925 Pacific AveAtlantic City, NJ 08401-6713 · (201) 257-1346
Phone(609) 449-4391
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 2, 2020
Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1205453545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA11845200
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1925 PACIFIC AVE, Atlantic City, NJ 08401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shil Shah is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183088750
PECOS Enrollment IDI20230914003300
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
347 services142 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
140 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
121 services119 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services36 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEWAZ MOHAMMED HOSSAIN MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8146
JITEN DESAI
Internal Medicine (Gastroenterology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 652-1000
EMAAN SALAM MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (188) 856-9100
CHERYL LYNN HEINZ
Peer Specialist
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 703-7422
MANISHA KHATIWALA MD
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
KELLY MARIE WILLMAN M.D.
Surgery (Trauma Surgery)
1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8023
MARIE FARNSWORTH
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
RAJESH I PATEL MD
Radiology (Diagnostic Radiology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 677-9729

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shil Shah's NPI number?

The NPI number for Shil Shah is 1205453545. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Shil Shah located?

Shil Shah practices at 1925 Pacific Ave 8th Fl, Atlantic City, NJ 08401. The listed phone number is (609) 449-4391.

What is Shil Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shil Shah enrolled in Medicare?

Yes. Shil Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shil Shah affiliated with any hospitals?

According to CMS data, Shil Shah is affiliated with Shore Medical Center and Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Shil Shah was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.